Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.29 / $330.04 / $5,634.00	Facility		$114.29	$330.04	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.29 / $159.91 / $204.98	Professional		$114.29	$159.91	$204.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.88 / $165.54 / $238.04	Professional		$122.88	$165.54	$238.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.28 / $163.54 / $260.17	Facility		$112.28	$163.54	$260.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $189.92 / $227.90 / $273.18	Professional		$189.92	$227.90	$273.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.53 / $172.53 / $172.53	Facility		$172.53	$172.53	$172.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.70 / $192.60 / $298.76	Professional		$125.70	$192.60	$298.76
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.60 / $213.65 / $314.88	Professional		$159.60	$213.65	$314.88